Provider Information for 1679767156
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Mrs. JULIE ANN THOMAS LPC
Sex: Female
NPI: 1679767156
Last Updated: 2021-07-05
Certification Date: 2021-07-05
Certification Date: 2021-07-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679767156 | ||||||||
| Enumeration Date | 2007-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1310 W PITTSBURG PL BROKEN ARROW, OK 74012-6658 United States Phone: 918-812-2475 | Fax: | ||||||||
| Primary Practice Address | 1310 W PITTSBURG PL BROKEN ARROW, OK 74012-6658 United States Phone: 918-812-2475 | Fax: | ||||||||
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